Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,457.07 / $1,457.07 / $1,457.07	Facility		$1,457.07	$1,457.07	$1,457.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,210.90 / $1,493.80 / $3,907.99	Professional		$1,210.90	$1,493.80	$3,907.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,508.31 / $3,265.21 / $4,081.51	Professional		$2,508.31	$3,265.21	$4,081.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,777.99 / $2,375.33 / $3,911.38	Facility		$1,777.99	$2,375.33	$3,911.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,393.05 / $3,085.01 / $15,789.51	Professional		$1,393.05	$3,085.01	$15,789.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,269.85 / $3,314.12 / $4,424.74	Facility		$2,269.85	$3,314.12	$4,424.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,269.85 / $3,004.95 / $3,740.29	Professional		$2,269.85	$3,004.95	$3,740.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,719.67 / $2,434.15 / $2,775.20	Professional		$1,719.67	$2,434.15	$2,775.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,255.88 / $2,560.57 / $3,983.11	Professional		$1,255.88	$2,560.57	$3,983.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,753.10 / $3,368.50 / $3,368.50	Professional		$2,753.10	$3,368.50	$3,368.50